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Its multifactorial etiology encompasses various physical, biological, environmental, and lifestyle factorsfor example, cariogenic bacteria, inadequate salivary flow, insufficient exposure to fluoride, poor oral hygiene, and the crucial event in the clinical course is the initial acquisition of Streptococcus mutans
The percentage of sixth- to eighth-graders who said they vaped went from 3.3 percent to 4.9 percent, a 48.5 percent increase
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